- The Hartford (Lake Mary, FL)
- …in the RMS process - meeting with insured's, making presentations, working with claims and underwriting, etc. + Work with Risk Engineering Manager on ... for this role is: $102,400 - $153,600 Equal Opportunity Employer/Sex/Race/Color/Veterans/ Disability /Sexual Orientation/Gender Identity or Expression/Religion/Age About Us (https://www.thehartford.com/about-us) |… more
- DOCTORS HEALTHCARE PLANS, INC. (Coral Gables, FL)
- …as well as knowledge of the interconnection between Utilization Management, claims , and regulatory requirements to respond to complex and/or escalated inquiries. ... who could benefit from care management and refers to the appropriate care manager . + Utilizes critical thinking skills to identify process issues and problems and… more
- CVS Health (Tallahassee, FL)
- …with heart, each and every day. **Position Summary** The Product Implementation Manager role is responsible for product/plan approval and auditing, in additional to ... specifically Medicare Advantage products such as product development, clinical, claims , operations requirements, implementation, and plan sponsor structure development.… more
- CDM Smith (Boca Raton, FL)
- …assigned activities including critical path method (CPM), scheduling and claims administration. Interprets plans and specifications for clients, contractors, and ... gender identity or gender expression), national origin, age, marital status, disability , veteran status, citizenship status, genetic information or any other… more
- AECOM (Jacksonville, FL)
- …+ Assist in the preparation of contract documents, change orders, and claims analysis + Contribute to continuous improvement initiatives within the department and ... Advanced MOT + CTQP Final Estimates Level II + CTQP Quality Control Manager **Additional Information** + Relocation assistance is not available for this position +… more
- National Express (Jacksonville, FL)
- …Shares concerns about suspicious or inappropriate behavior with their supervisor or manager . + Other duties as assigned Company name is: Durham School Services ... events to ensure excellence in customer service. + Ability to Investigate claims and incidents of questionable conduct, accidents etc. + Computer literacy skills… more
- Amentum (Cape Canaveral, FL)
- …manner and will serve as a strategic business partner to the Program Manager and leadership team. This position will partner with leadership to ensure optimal ... and conduct E-Verify for new hires. + Manage workers' compensation claims and coordinate follow-up documentation. + Document, process, and maintain records… more
- Surgery Care Affiliates (Jacksonville, FL)
- …and corrected claims collaborating with the biller and/or Business Office Manager , insurance payers and/or patients on past due accounts + Primary functions are ... coverage, 401k plan with company match, paid time off, life and disability insurance, and more. Click here (https://careers.sca.health/why-sca) to learn more about… more
- AdventHealth (Altamonte Springs, FL)
- …Nurse for the Employee Clinic collaborates closely with the Employee Clinic Manager , regional Employee Health Managers, Medical Directors, and both clinical and ... The Employee Health Registered Nurse also oversees Workers' Compensation claims , hospital surveillance programs, and regulatory compliance related to occupational… more
- AdventHealth (Zephyrhills, FL)
- …develops and administers the Risk Management Program for loss prevention and claims control (according to federal, state, and local requirements) to meet the ... trends and sentinel events, with referral to the appropriate committee, manager , or individual for follow-up. Monitors process improvement. + Maintains familiarity… more